Registered Nurse-Review Analyst

ICONMA; Detroit (MI); On-site; USD 60,000 - 90,000; Full time

Job summary

An innovative health insurance provider is seeking a Registered Nurse-Review Analyst to enhance their policy development team. This role involves collaborating with healthcare professionals to create and revise medical policies, ensuring clarity and compliance with industry standards. Ideal candidates will possess a strong nursing background, excellent communication skills, and a meticulous attention to detail. As part of a supportive environment, you will have the opportunity to contribute to meaningful healthcare policies while enjoying excellent growth opportunities. If you are passionate about making a difference in healthcare, this is the perfect opportunity for you.

Benefits

Health Benefits

Referral Program

Growth and advancement opportunities

Qualifications

• Experience in developing and analyzing medical policies and guidelines.
• Strong foundation in medical terminology and coding.

Responsibilities

• Collaborate with stakeholders to gather input on policies.
• Prepare and format documents according to industry standards.

Skills

Policy development and analysis

Medical knowledge

Health Insurance experience

Writing and communication skills

Research and analytical skills

Attention to detail

Organizational skills

Education

Bachelor’s degree in Nursing

Master’s in Nursing or related field

Tools

Microsoft Office (Word)

Content management systems

Document management software

Job description

Our Client, a Health Insurance company, is looking for a Registered Nurse-Review Analyst for their Detroit, MI location.

Responsibilities:

• Collaboration and stakeholder management: The writer should be able to work effectively with various stakeholders, including healthcare professionals, administrators, and other subject matter experts, to gather input and feedback on policies.
• Prepare and format documents according to industry standards, journal guidelines, and client specifications, including manuscript formatting, reference formatting, and document styling, to facilitate submission and publication.
• Review and revise draft documents for content accuracy, clarity, coherence, and consistency, incorporating feedback from subject matter experts, project stakeholders, and regulatory reviewers to ensure document quality and compliance with requirements.

Requirements:

• Policy development and analysis experience: The ideal candidate should have experience in developing, analyzing, and interpreting medical policies, procedures, and guidelines. They should be able to identify areas for improvement and update policies accordingly.
• Medical knowledge and background: A strong foundation in medical terminology, medical coding and billing, CMS Medicare regulations, and clinical practices are necessary.
• Health Insurance experience: Must have Medicare Advantage experience working for a health insurance provider. Utilization Management experience is a plus.
• Strong writing and communication skills: The ability to write clear, concise, and accurate policies and procedures is essential. The writer should be able to communicate complex medical concepts in a straightforward and accessible way.
• Research and analytical skills: The ability to conduct research, analyze data, and draw conclusions to inform policy development is essential. The writer should be able to stay up-to-date with industry trends, best practices, and emerging issues.
• Attention to detail and organizational skills: Medical policy writers must be meticulous and organized, with the ability to manage multiple projects and deadlines. They should be able to prioritize tasks, maintain accurate records, and ensure version control.
• Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Technical Skills: Proficiency in Microsoft Office, particularly Word, and experience with content management systems, document management software, or other relevant tools are necessary.
• Bachelor’s degree in nursing minimum, prefer Master’s in Nursing or related field
• Current RN Licensure

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

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